Treatment of the four-part proxsimal humerus fractures in elderly patients with hemiarthroplasty
Küçük Resim Yok
Tarih
2008
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Turkish Joint Diseases Foundation
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Objectives In this study, elderly patients treated by hemiarthroplasty for the four-part proximal humerus fractures were retrospectively evaluated. Patients and methods Twenty-eight patients 60 years of age and above who underwent hemiarthroplasty for the four-part humerus proximal shaft fractures between years 1991-2005 were evaluated. The mean age was 67.7 years (61-82). Nine patients were male and 19 patients were female. Cause of fracture in 11 cases was traffic accidents (39.3 %) and in 17 cases it was a simple fall (60.7 %). Results The mean follow-up time was 54.5 (26-153) months. Rehabilitation started at the end of the first week of surgery. All the cases were evaluated according to the Neer Scoring System. The mean Neer score was 77.1 (32-92). Results were excellent in 14.3%, adequate in 46.4%, inadequate in 28.6% and unsuccessful in 10.7% of the cases. Conclusion Primary shoulder hemiarthroplasty is a preferred treatment method in elderly patients having four-part humerus proximal fractures despite limited excellent results. Presence of osteoporosis, high osteonecrosis risk and difficulties in internal fixation amend the outcome.
Açıklama
Anahtar Kelimeler
Proximal humerus fractures, elderly patients, hemiarthroplasty
Kaynak
Eklem Hastaliklari Ve Cerrahisi-Joint Diseases and Related Surgery
WoS Q Değeri
N/A
Scopus Q Değeri
Cilt
19
Sayı
3
